04-103424 r '
Cots of unity Federal Warr Mechanical Permit #:04 - 103424 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph 253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050
Project Name: UNDERWOOD
Project Address: 28521 24TH S Ave, s Parcel Number: 027120 0230
Project Description: Remove and replace gas water heater.
Owner Applicant Contractor
Lori C Sweet &GEORGE UNDERWOOD FAST WATER HEATER COMPANY FAST WATER HEATER COMPANY
18524 S 24TH AVE 12601 132ND AVE NE 12601 132ND AVE NE
FEDERAL WAY WA KIRKLAND WA 98034 KIRKLAND WA 98034
98003 (425)814-8381
Mechanical Valuation 449 Over the Counter Permit Yes
PERMIT EXPIRES February 23,2005.
Permit issued on August 27,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: See Application Date: '"z7—Okt
THIS CARD IS TO REMAIN ONSITE
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CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103424-00-ME
Owner: LORI C SWEET
Address: 28521 24TH AVE S
FEDERAL WAY, WA 98003-3301
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By 7 /L Date 7/70-t
crr,r.. 0 `L ' ± c"..a. Kl 4
Fedora!Way RE ,�k\IFP PERMIT SF
OU smerDEVEtOMIixrSERIICES MF COG,EL PL DE EN FP
15.1017R5TWAY SOUTH•POBOX 9713
mow.
11APPLICATION _°
2534614115*FAX 253661!129
The olio • is •(*Ted u' l ,-.1, ineo •tete . ••Iication will not be acce•ted. Please • nt to•lb/ (La ink)or • .
PROPERTY INFORMATION
SITE ADDRESS 2,3521_24 AVE S,FEDRRitI,WAY,WA 98003 SUITE/UNIT II
ASSESSOR'S TAX/PARCEL I _.0274200230 _ .,"" - �, _ LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates, lot 1) _
{Attael`sq.arete pow f•40hV Segsi desaipsar.I
PROJECT INFORMATION
TYPE OF PERMIT U BUILDING Cl PLUMBING XMECIIAFiICAL
a DEMOLITION 0 ELECTRICAL Cl ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Remove/Replace Gas Water Heater
PYtOJECT NAME(Name of Business or Owner Last Name)
PE)1-11�E )7i&t'n!A110:i
PROPERTY NAME ' PRIMARY PHONE
OWNER UNDERWOOD. GEORGE (2061898-6726
MAILING ADDRESS CITY,STATE,ZIP
PO BOX 48323 $URIEN,WA 98148
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FAST WATER HEATER COMPANY (4251814-3124
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
12_601_132ND AVE NE KIRKLAND,WA 98Q34
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-8 7---0 -0-0- 0-4-7— -0 .0- L L 425 814-9516
CONTRACTOR'S REGISTRATION NUMBER"(copy of card required with each application) EXPIRATION DATE
EASTWHCO52DE. 02/16/2005
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
^ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE jf
_____i j
RELAT10HSTIIPTO PROJECT FAX NUME3ER
❑ Architect 0 Tenant O Agent f] Other(Describe) i
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
1
LENDER Par RCW 29.27.095: Lender information iso t- NAME .
tequtirid(f praise value exessdi$$'OOO'. ,.,
MAILING ADDRESS CITY,STATE,ZIP ak
1 Dy • I . I I el t TO- ;TION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $. VALUE OF PROPOSED WORK $449.00
SPRINKLEREI)BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER O LAKEHAVEN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ti.1
i
xPROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING -
r BASEMENT FT PROPOSED SQ.FT. TOTAL
FIRST f
SECOND
THIRD
FOURTH
y
_ -
ADDITIONAL FLOORS(DESCRIBE) --
DECK(COVERED?) "--
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL LXL7TOtO TOTAL rttOroscO TOTAL LUST=Mo morocco
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. `
MECHANICAL
Value of Mechanical Work $ ;
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIG.SYSTEMS i 1
BBQS FANS HOODS t.�..: WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES X GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS WATER CLOSETS
�«Tuysh....rcomeo) . SHGWE,RS iraactf -__ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS Itl.tat...s ,i VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
t ant authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
ti
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of -
such claim), which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of t.
this application.
NAME/TITLE ✓ _permit Mgr DATE 08/24/2004 ''
ISiauaturc) (Title)
RELATIONSHIP TO PROJECT 0 Owner n Agent t Contractor 0 Architect ❑ Other •
FOR OFFICE USE.ONLY f'
a NEW o ADDITION a ALTERATION 0REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO -
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
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Bulletin#I00-March 30,2004 Page 2 of 4
•_, k\Handouts-Revised\I'ennit Application